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Tixagevimab and Cilgavimab Injection

Wisconsin rates for HCPCS M0220

Injection, tixagevimab and cilgavimab, for the pre-exposure prophylaxis only, for certain adults and pediatric individuals (12 years of age and older weighing at least 40kg) with no known SARS-CoV-2 exposure, who either have moderate to severely compromised immune systems or for whom vaccination with any available COVID-19 vaccine is not recommended due to a history of severe adverse reaction to a COVID-19 vaccine(s) and/or COVID-19 vaccine component(s), includes injection and post administration monitoring

Rates data updated July 2026.

Facilitymedian $155 · 10th–90th $151$4270%50%10th90th$155Professionalmedian $302 · 10th–90th $151$3470%20%10th90th$302$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Cigna
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$154.88
Typical High
$426.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$151.36
Typical High
$302.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$398.11
Quartz
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$933.25
Typical High
$933.25